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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

Description

The flagship claims processing solution from Acrometis provides exceptional workflow management by utilizing a configurable rules engine to automatically route documents. This system is built around various elements such as claim assessment scoring, matching body parts to claim compensability, adhering to jurisdictional directives, and scoring relatedness, all aimed at minimizing both the duration and costs associated with claims. Notably, CLAIMExpert can autonomously process 65 percent of incoming medical bills and non-medical documents without requiring any user intervention. Documents that need adjuster review are efficiently flagged and organized to facilitate straightforward decision-making, ensuring that the process remains streamlined. With no need for adjuster involvement for the initial processing, clients often experience an improvement ranging from 11 to 23 points in medical loss within the first year. Furthermore, CLAIMExpert is equipped with rules addressing over 190 different document types, enabling it to swiftly manage whitemail and any other documentation that may arrive at an adjuster’s desk. This comprehensive approach not only enhances efficiency but also significantly impacts the overall claims handling process.

Description

Utilizing a blend of advanced data mining techniques and natural language processing, CAT can efficiently pull text and specific portions from any healthcare document, identifying key components like medication names, medical procedures, diagnoses, and various disorders. With the information gathered on procedures and diagnoses, CAT is also able to formulate a Diagnosis Related Group (DRG) or an Emergency Medical Service (EMS) level. Additionally, CAT assesses the document against various PQRS measures to ensure compliance. This technology extracts text from medical documents and swiftly transforms it into a format suitable for billing, achieving a remarkable level of accuracy. By streamlining this process, CAT enhances operational efficiencies and generates cost savings for hospitals, medical practices, and other healthcare providers that need coding services. The time spent on billing and coding sees a significant reduction, while the precision of claim submissions is greatly enhanced through this automated approach, which not only speeds up the claim processing time but also improves the overall revenue cycle for healthcare organizations. As a result, healthcare facilities experience a smoother financial operation and can focus more on patient care.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Acrometis

Founded

2002

Country

United States

Website

www.acrometis.com/our-solutions/claimexpert-and-associated-services/

Vendor Details

Company Name

OneVoiceData

Founded

1999

Country

United States

Website

www.onevoicedata.com

Product Features

Claims Processing

Adjustor Management Yes 
Case Management Yes 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management Yes 
Customer Management Yes 
Electronic Claims Yes 
Forms Management Yes 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration Yes 

Product Features

Speech Recognition

Audio Capture Yes 
Automatic Form Fill No 
Automatic Transcription Yes 
Call Analysis No 
Concatenated Speech No 
Continuous Speech No 
Customizable Macros No 
Multi-Languages Yes 
Specialty Vocabularies No 
Speech-to-Text Analysis Yes 
Variable Frequency No 
Voice Recognition Yes 

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